| Regimental number | 276 |
| Place of birth | Petersberg South Australia |
| Religion | Church of England |
| Occupation | Engineer |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, Johyn Heithersay, 99 George Street, Norwood, South Australia |
| Enlistment date | 22 October 1914 |
| Rank on enlistment | Corporal |
| Unit name | 9th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A10 Karroo on 11 February 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 4 May 1917 |